Active NPI
Matthew Ferreira, MSW
- Mental Health Counselor
- New Haven, CT
National Provider Identifier
1811262116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 82070400001
- Practice address
- 48 Howe St Ste 4
New Haven, CT 06511-4620 - Phone
- (833) 999-7662
- NPI assigned
- Mar 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Mental Health Counselor | 101YM0800X | 82070400001 | CT | Primary |
Addresses
Primary practice location
48 Howe St Ste 4
New Haven, CT 06511-4620
Mailing address
48 Howe St Ste 4
New Haven, CT 06511-4620
Phone (833) 999-7662
Other practice location 1
199 Britannia St
Meriden, CT 06450-2229
Phone (203) 600-9952
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XGN9990876089 | Other | CT | ANTHEM |
| 85-4047542 | Other | CT | DEPARTMENT OF PUBLIC HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | romacounselinggroup.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82070400001 | CT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609632000000",
"number": "1811262116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 HOWE ST STE 4",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114620",
"telephone_number": "833-999-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 HOWE ST STE 4",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114620",
"telephone_number": "833-999-7662"
}
],
"practiceLocations": [
{
"address_1": "199 Britannia St",
"address_purpose": "LOCATION",
"city": "Meriden",
"state": "CT",
"postal_code": "064502229",
"country_code": "US",
"telephone_number": "203-600-9952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERREIRA",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-20",
"last_updated": "2021-01-03",
"certification_date": "2021-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "82070400001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "XGN9990876089",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF PUBLIC HEALTH",
"identifier": "85-4047542",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "romacounselinggroup.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "48 Howe St Ste 4",
"city": "New Haven",
"state": "CT",
"country_code": "US",
"postal_code": "065114620",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.